The fiscal and programmatic integrity of federal and state healthcare programs is a priority for multiple federal and state agencies and contracted entities on behalf of those federal programs.The government continues to devote substantial resources to the battle to insure the integrity of government run healthcare programs.The acronyms for these agencies and contractors are numerous, but the common purpose of these entities is to ferret out fraud and abuse.However, the question is most often whether there is actual fraud or abuse or simply good faith errors made in the face of overwhelmingly complex regulations and requirements.
As counsel for healthcare providers, DeBruhl Haynes, The Health Law Group works with providers and their local legal counsel both to avoid any likelihood of fraud and abuse investigations and to defend those subject to investigation whether in an audit, a request for information, or full fledged investigation and prosecution.
The Firm’s activities in the fraud and abuse area include:
Analysis of proposed business transactions for compliance with Anti-Kickback, Stark, Civil Money Penalties and billing requirements
Opinions of counsel regarding proposed transactions and preparation of requests for advisory opinions to governmental agencies regarding proposed transactions
Defense of audits by various governmental agencies and contractors, including Medicare carriers and fiscal intermediaries, Medicare Program Integrity Contractors, and Medicaid contractors and program integrity
Development of voluntary corporate compliance programs
Defense of false claims and qui tam actions
Incident investigations and development of corrective action plans
Defense of pre and post payment review and overpayment determinations
Defense of proposed exclusions from Medicare and Medicaid
Assisting with Voluntary Disclosure to the Office of Inspector General and the Centers for Medicare and Medicaid Services (CMS)
The contents of this website do not constitute legal advice. The information provided on this website is no substitute for legal advice from an attorney licensed to practice in your jurisdiction. Access to this website or contact through this website does not and shall not be deemed to create an attorney-client relationship.